The Right Knee saga-no more running!

UPDATED!

I have gone back to rowing as I always need a physical challenge and competition v self or others. As long as I don’t fully flex knee it ought to not be damaging impact. The brace has certainly eased the pain and may be a good stop gap between now and operation to permanently realine.

Proverbs 19:21 “ There are many devices in a man’s heart; nevertheless the counsel of the Lord, that shall stand.”

Proverbs 20:24 “ Man’s goings are of the Lord; how can a man then understand his own way?”

Psalm 37:23  ” The steps of a good man are ordered by the Lord: and he delighteth in his way.”

“The Lord gave and the Lord has taken away, blessed be the name of the Lord.” (Job 1:21). I have enjoyed running of all kinds over the years and even toyed with the of the idea of one last decathlon. But it is not to be as the outside semi-lunar cartilage is almost  worn away, torn and loose, plus the cartilage on the end of my thigh bone is badly worn (pic. 2). Part of the reason for this is a slight misalignment leg at knee level (see pic. 1). Surgery is planned to augment the cartilage with an artificial spacer (pic. 4)and supplement that on the bone end along with a slight realignment of the bones by an osteotomy (bone cut-see pic. 3). After this, all high impact activities will be prohibited because they could undo all the work. So running, jumping and rowing (extreme flexion) are over. Cycling and walking should be ok. God is good and he knows what he is doing (Psalm 138:8).  

Knee

Pic.1

 

Pic. 2 Semi-lunar cartilages yellow, hyaline (glass-like) articular cartilage grey.

Pic.3 slight misalignment and it’s correction,

by taking a wedge of bone out of the distal femur.

Pic.4 artificial spacer

Possible surgery

More

More

and more

and more

and even more

more yet

more

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more

http://www.briancolemd.com/wp-content/themes/ypo-theme/pdf/distal-femoral-osteotomy-2016.pdf

https://link.springer.com/article/10.1007/s00167-016-3988-2

http://tony-gibbon.co.uk/treatment/knee-treatment/treatments/distal-femoral-osteotomy

Cartilage regeneration

 

Patient experience

Total Knee Replacement

Sport after TKR

Rowing after Total Knee Replacement?

Re: Knee Replacements

Postby wsmith » August 6th, 2011

i am an orthopedic surgeon with a hip replacement. rower is good for hip and knee surgery but for knee should wait until swelling is down and start with easy, smooth rowing to gain motion and flexibility (prolonged knee inflammation can lead to decreased long term motion). probably will need to wait 4-6 months until it is good to train hard, i.e. intervals, etc. getting as full motion as needed for a complete catch may be difficult and take 9-12 months. but the motion and training from early on will be good for you and good for your knee. how things will end up will depend on previous training history, age and how long and severe the disablement was from the knee arthritis. good idea to discuss with the surgeon. nowadays, high levels of exercise are usually encouraged. probably you will be amazed at how good things will feel. the rower lets joint replacement patients potentially reach tremendous fitness levels in a safe, sustainable manner: ideal in many ways. you may not achieve previous speed levels due to some decrease in motion, but won’t it feel nice to train hard without the joint pain, even if it is not perfect? hss is a good choice with a proven track record of excellence in joint replacement surgery. the type of knee is not a important as everyone makes out. many surgeons have financial interests and you should ask: “why this particular company?” what is important is that the particular knee design is not brand new, has a proven track record and the surgeon does at least 100″ish” such surgeries per year. good luck. wade smith md
wsmith

 

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